According to the March issue of Plastic and Reconstructive Surgery, African Americans show facial aging in the outer corner of the eyes earlier than Caucasians.
"African Americans have a slight slant to their eyes, much like Asians do but not as pronounced," says Julius Few, MD, ASPS member surgeon and study co-author. "During aging, we found not only do the outer corners of the eyes of African Americans droop lower than Caucasians, they also droop sooner."
In the study, the median eye slant for African American women aged 45 years or younger was 3° and decreased to 1° for those older than 45. The median eye slant in Caucasian women aged 45 years or younger was 1.3° and decreased to zero for those older than 45. While the forehead and eyebrow areas of Caucasian women tend to drop a decade earlier than African American women, the aging effects to the outer corner of the eye is exactly opposite.
With aging, the outer corner of the eye droops down, making under-eye bags more noticeable, lower lids looser, and aging more evident. During an eye lift, if the outer corner is not raised up enough to recreate the slant, many African American patients will feel their ethnically unique features have been changed.
"On top of honoring their ethnic uniqueness, one of the biggest concerns African American women have is their tendency to show scars," says Few. "By going through the inside of the lower eyelid and hiding a small scar in the upper eyelid crease during a lift, the scarring will not be visible."
[www.medicalnewstoday.com, February 28, 2008]